Juan C. Bosque, D.D.S., Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

42723 Issued in CA

Legal business name

JUAN C. BOSQUE, D.D.S., INC.

Practice address

3760 Convoy St
Suite 330
San Diego, CA 92111-3742

Phone

(858) 999-5968

NPI assigned

Jan 13, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Juan Carlos Bosque Sr., DDSNPI 1750506754

Title

Owner/ President

Phone

(858) 999-5968

Specialties & licenses 1

Addresses

Other names 1

• South Coast Endodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Carlos Bosque Sr., DDS

  • Endodontics
  • San Diego, CA
  • NPI 1750506754
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1427329952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST",
            "address_2": "SUITE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113742",
            "telephone_number": "858-999-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST",
            "address_2": "SUITE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113742",
            "telephone_number": "858-999-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN C. BOSQUE, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "BOSQUE",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "858-999-5968",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "42723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Coast Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jsheard MD Incorporated
• JTC Home Health, Inc.
• Jtjsk Professional Corporation
• Maluz Celeste Juache, BA
• Juan Antonio Mendoza
• Artlynne Juan
• Ilona Catalina Juan
• Michael Anthony Juan, PH.D.
• Alfonso Rodriguez Juanengo, D.C.
• Noah Alexander Corpus Juanengo

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.